Individual
JESSICA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5926 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 46224-3722
(317) 653-2730
(317) 321-1935
Mailing address
5415 KNOLLTON RD, INDIANAPOLIS, IN 46228-2213
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71005125A
IN
Other
Enumeration date
04/30/2014
Last updated
07/22/2024
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